Active NPI
Supportive Solutions Home Care LLC
- Home Health Agency
- Dearborn, MI
National Provider Identifier
1619784667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SUPPORTIVE SOLUTIONS HOME CARE LLC
- Practice address
- 23916 Michigan Ave Ste 160
Dearborn, MI 48124-1833 - Phone
- (313) 492-9877
- NPI assigned
- Dec 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ali Hussein Beydoun
- Title
- Operator
- Phone
- (313) 377-8221
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
23916 Michigan Ave Ste 160
Dearborn, MI 48124-1833
Mailing address
835 Mason St Ste C116
Dearborn, MI 48124-2222
Phone (313) 492-9877
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734048000000",
"number": "1619784667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 MASON ST STE C116",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242222",
"telephone_number": "313-492-9877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23916 MICHIGAN AVE STE 160",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481241833",
"telephone_number": "313-492-9877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPPORTIVE SOLUTIONS HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-13",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A",
"authorized_official_last_name": "BEYDOUN",
"authorized_official_first_name": "ALI",
"authorized_official_middle_name": "HUSSEIN",
"authorized_official_title_or_position": "OPERATOR",
"authorized_official_telephone_number": "313-377-8221"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.